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1.
Washington, D.C.; PAHO; 2021-10-14.
en Inglés | PAHO-IRIS | ID: phr-54991

RESUMEN

The Economic Commission for Latin America and the Caribbean (ECLAC) and the Pan American Health Organization (PAHO) have produced this second joint report to update the situation on the evolution of the COVID-19 pandemic and its implications for health, society and the economy. This report defines potential scenarios for control of the pandemic in the short term as well as long-term action recommended to strengthen the response capacity of countries with regard to the health needs of their populations and determinants in the context of a transformative recovery.


Asunto(s)
COVID-19 , Coronavirus , Infecciones por Coronavirus , Pandemias , Salud Pública , Economía , Economía y Organizaciones para la Atención de la Salud , Problemas Sociales , Bienestar Social , Capital Social
2.
Washington, D.C.; OPS; 2021-10-14.
en Español | PAHO-IRIS | ID: phr-54990

RESUMEN

Más de un año después del inicio de la pandemia de COVID-19, América Latina y el Caribe acumula un número desproporcionado de casos y muertes respecto de otras regiones del mundo y sufre la mayor contracción económica de los últimos 120 años. En este segundo informe conjunto de la Comisión Económica para América Latina y el Caribe y la Organización Panamericana de la Salud se actualizan la situación de la evolución de la pandemia y sus implicaciones sociales, económicas y para la salud. Para ello se abordan los principales impactos económicos y sociales de la pandemia en la región, junto con el papel central de la protección social y el Estado, y la necesidad de incrementar la inversión pública en salud y fortalecer la institucionalidad del sector de la salud. Por último, se analizan los posibles escenarios de supresión de la pandemia en el corto plazo y un conjunto de condiciones contextuales que inciden de forma directa en este objetivo. El informe se cierra con un apartado de recomendaciones que enfatizan la importancia de adoptar un abordaje integral para poner fin a la crisis de salud en el corto plazo, avanzar hacia una recuperación económica sostenible y con igualdad, y promover la salud universal mediante sistemas de salud resilientes.


Asunto(s)
COVID-19 , Coronavirus , Infecciones por Coronavirus , Pandemias , Sistemas de Salud , Salud Pública , Economía , Economía y Organizaciones para la Atención de la Salud , Problemas Sociales , Bienestar Social , Capital Social
3.
J Int Bioethique Ethique Sci ; 32(2): 99-117, 2021 06 18.
Artículo en Francés | MEDLINE | ID: mdl-34553859

RESUMEN

Our aim is to study the Leopold-Potter relationship in order to draw lessons from it but also a judgement concerning the bioeconomy that the public authorities currently intend to set up (OECD, European Union…). It seems to us that articulating Leopold’s land ethic and Potter’s bioethics allows us to think of a bioeconomy embedded in a bioethics. Moreover, this bioeconomy can constitute an original benchmark against which to compare the bioeconomy that governments are implementing today. The bioeconomy as these authors present it therefore implicitly reveals the limits of the bioeconomy that we are seeking to apply today, and which we may fear will pose many problems in the context of the ecological crisis.


Asunto(s)
Bioética , Desarrollo Económico , Biotecnología , Unión Europea , Humanos
4.
Cad. Ibero Am. Direito Sanit. (Impr.) ; 10(3): 66-82, jul.-set.2021.
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1291454

RESUMEN

A pandemia de COVID-19, na tripla crise que desencadeou ­sanitária, económica e social ­, tem provocado o maior retrocesso na implementação dos Direitos Humanos de que há memória desde a sua Declaração Universal, em 1948. Esta avaliação decorre da amplitude e profundidade do recuo na realização dos direitos humanos que se verifica actualmente em três planos, correspondendo, de uma forma genérica, às três gerações de direitos: no plano individual, contemplando os direitos civis e políticos; no social, os direitos económicos e sociais; e no global, os direitos de titularidade colectiva ou de solidariedade. Deter-nos-emos, sucessivamente, nestes diferentes planos, considerando algumas das mais comuns e impactantes medidas sanitárias implementadas em cada um e que constituem transgressões aos direitos humanos, reflectindo sobre as eventuais condições de legitimação ética das medidas adoptadas. Paralelamente, importa considerar que as medidas sanitárias implementadas não só vêm atingindo o respeito pelos Direitos Humanos, mas têm igualmente originado áreas de conflito entre diferentes direitos, em relação aos quais não é eticamente legítimo optar por uns em detrimento de outros. Defende-se ser necessário avançar para uma nova abordagem dos direitos humanos, destacando a sua complementaridade e sustentabilidade nos deveres ­num modelo integrado ­o que, por sua vez, deverá contribuir para a articulação de todos os direitos e seu respectivo cumprimento.


The COVID-19 pandemic, in the triple crisis it triggered ­health, economic and social ­has caused the greatest setback in the implementation of Human Rights since its Universal Declaration, in 1948. This assessment stems from its amplitude and the depth of the reversion in the realization of human rights that is currently verified on three levels, corresponding, in a generic way, to the three generations of rights: on the individual level, contemplating civil and political rights; in the social, economic and social rights; and overall, collective ownership rights. We will successively focus on these different plans, considering some of the most common and impactful sanitary measures implemented in each one and which constitute human rights violations, reflecting on the possible conditions for the ethical legitimacy of the adopted measures.At the same time, it is important to consider that the sanitary measures implemented have not only negatively affected the due respect for Human Rights, but have also given rise to areas of conflict between different rights, in relation to which it is not ethically legitimate to opt for some to the detriment of others. It is argued that it is necessary to move towards a new approach to human rights, highlighting their complementarity and sustainability of duties ­in an integrated model ­which, in turn, should contribute to the articulation of all rights and their respective fulfillment.


La pandemia COVID-19, en la triple crisis que desencadenó -sanitaria, económica y social ­ha provocado el mayor retroceso en la implementación de los Derechos Humanos desde su Declaración Universal, en 1948. Esta apreciación se deriva de su amplitud y la profundidad del retroceso en la realización de los derechos humanos que actualmente se verifica en tres niveles, correspondientes, de manera genérica, a las tres generaciones de derechos: a nivel individual, contemplando los derechos civiles y políticos; en los derechos sociales, económicos y sociales; y, en general, derechos de propiedad colectiva. Nos centraremos sucesivamente en estos diferentes planes, considerando algunas de las medidas sanitarias más comunes e impactantes implementadas en cada uno y que constituyen violaciones a los derechos humanos, reflexionando sobre las posibles condiciones para la legitimidad ética de las medidas adoptadas.Al mismo tiempo, es importante considerar que las medidas sanitarias implementadas no solo hanlogrado afectar negativamente el respeto a los Derechos Humanos, sino que también han dado lugar a áreas de conflicto entre diferentes derechos, en relación con los cuales no es éticamente legítimo optar por algunos en detrimento de los demás. Se argumenta que es necesario avanzar hacia un nuevo enfoque de los derechos humanos, destacando su complementariedad y sostenibilidad de deberes -en un modelo integrado ­que, a su vez, debe contribuir a la articulación de todos los derechos y su respectivo cumplimiento.

5.
Yearb Med Inform ; 30(1): 226-232, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34479394

RESUMEN

OBJECTIVE: This survey article presents a literature review of relevant publications aiming to explore whether the EU's General Data Protection Regulation (GDPR) has held true during a time of crisis and the implications that arose during the COVID-19 outbreak. METHOD AND RESULTS: Based on the approach taken and the screening of the relevant articles, the results focus on three themes: a critique on GDPR; the ethics surrounding the use of digital health technologies, namely in the form of mobile applications; and the possibility of cross border transfers of said data outside of Europe. Within this context, the article reviews the arising themes, considers the use of data through mobile health applications, and discusses whether data protection may require a revision when balancing societal and personal interests. CONCLUSIONS: In summary, although it is clear that the GDPR has been applied through a mixed and complex experience with data handling during the pandemic, the COVID-19 pandemic has indeed shown that it was a test the GDPR was designed and prepared to undertake. The article suggests that further review and research is needed to first ensure that an understanding of the state of the art in data protection during the pandemic is maintained and second to subsequently explore and carefully create a specific framework for the ethical considerations involved. The paper echoes the literature reviewed and calls for the creation of a unified and harmonised network or database to enable the secure data sharing across borders.


Asunto(s)
COVID-19 , Seguridad Computacional/legislación & jurisprudencia , Recolección de Datos/ética , Difusión de la Información/ética , Seguridad Computacional/ética , Confidencialidad , Recolección de Datos/legislación & jurisprudencia , Unión Europea , Regulación Gubernamental , Humanos , Difusión de la Información/legislación & jurisprudencia
6.
Nutrients ; 13(9)2021 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-34578854

RESUMEN

The coronavirus (COVID-19) pandemic has had serious repercussions on the global economy, work force, and food systems. In Lebanon, the pandemic overlapped with an economic crisis, which threatened to exacerbate food insecurity (FI). The present study aims to evaluate the trends and projections of FI in Lebanon due to overlapping health and economic crises. Data from Gallup World Poll (GWP) 2015-2017 surveys conducted in Lebanon on nationally representative adults (n = 3000) were used to assess FI trends and explore its sociodemographic correlates. Predictive models were performed to forecast trends in FI (2018-2022), using GWP data along with income reduction scenarios to estimate the impact of the pandemic and economic crises. Pre crises, trend analyses showed that FI could reach 27% considering wave year and income. Post crises, FI was estimated to reach on average 36% to 39%, considering 50-70% income reduction scenarios among Lebanese population. FI projections are expected to be higher among females compared to males and among older adults compared to younger ones (p < 0.05). These alarming findings call for emergency food security policies and evidence-based programs to mitigate the burden of multiple crises on the FI of Lebanese households and promote resilience for future shocks.


Asunto(s)
COVID-19/epidemiología , Recesión Económica/tendencias , Inseguridad Alimentaria/economía , Abastecimiento de Alimentos/estadística & datos numéricos , Pandemias/economía , Adolescente , Adulto , COVID-19/economía , COVID-19/psicología , COVID-19/virología , Estudios Transversales , Recesión Económica/estadística & datos numéricos , Femenino , Abastecimiento de Alimentos/economía , Humanos , Líbano/epidemiología , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , Pandemias/estadística & datos numéricos , Prevalencia , Resiliencia Psicológica , Factores Socioeconómicos , Encuestas y Cuestionarios/estadística & datos numéricos , Adulto Joven
7.
Nutrients ; 13(7)2021 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-34371844

RESUMEN

Widespread food insecurity has emerged as a global humanitarian crisis during the coronavirus disease 2019 (COVID-19) pandemic. In response, international non-governmental organizations (INGOs) and United Nations (UN) agencies have mobilized to address the food security needs among different populations. The objective of this review was to identify and describe food security interventions implemented by INGOs and UN agencies during the early stages of the pandemic. Using a rapid review methodology, we reviewed food security interventions implemented by five INGOs and three UN agencies between 31 December 2019 and 31 May 2020. Descriptive statistical and content analyses were used to explore the extent, range, and nature of these interventions. In total, 416 interventions were identified across 107 low- and middle-income countries. Non-state actors have developed new interventions to directly respond to the food security needs created by the pandemic. In addition, these humanitarian organizations have adapted (e.g., new public health protocols, use of technology) and reframed existing initiatives to position their efforts in the context of the pandemic. These findings provide a useful baseline to monitor how non-state actors, in addition to the food security interventions these organizations implement, continue to be influenced by the pandemic. In addition, these findings provide insights into the different ways in which INGOs and UN agencies mobilized resources during the early and uncertain stages of the pandemic.


Asunto(s)
COVID-19/epidemiología , Países en Desarrollo , Seguridad Alimentaria , Sistemas de Socorro , Seguridad Alimentaria/métodos , Abastecimiento de Alimentos , Humanos , Organizaciones , Naciones Unidas
8.
Artículo en Inglés | MEDLINE | ID: mdl-34444557

RESUMEN

OBJECTIVE: To analyse the trends in chronic liver diseases and cirrhosis mortality, and the associated socioeconomic inequalities, in nine European cities and urban areas before and after the onset of the 2008 financial crisis. METHODS: This is an ecological study of trends in three periods of time: two before (2000-2003 and 2004-2008), and one after (2009-2014) the onset of the economic crisis. The units of analysis were the geographical areas of nine cities or urban areas in Europe. We analysed chronic liver diseases and cirrhosis standardised mortality ratios, smoothing them with a hierarchical Bayesian model by each city, area, and sex. An ecological regression model was fitted to analyse the trends in socioeconomic inequalities, and included the socioeconomic deprivation index, the period, and their interaction. RESULTS: In general, chronic liver diseases and cirrhosis mortality rates were higher in men than in women. These rates decreased in all cities during the financial crisis, except among men in Athens (rates increased from 8.50 per 100,000 inhabitants during the second period to 9.42 during the third). Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality were found in six cities/metropolitan areas among men, and in four among women. Finally, in the periods studied, such inequalities did not significantly change. However, among men they increased in Turin and Barcelona and among women, several cities had lower inequalities in the third period. CONCLUSIONS: There are geographical socioeconomic inequalities in chronic liver diseases and cirrhosis mortality, mainly among men, that did not change during the 2008 financial crisis. These results should be monitored in the long term.


Asunto(s)
Recesión Económica , Cirrosis Hepática , Teorema de Bayes , Ciudades , Femenino , Disparidades en el Estado de Salud , Humanos , Masculino , Mortalidad , Factores Socioeconómicos , España
9.
Artículo en Inglés | MEDLINE | ID: mdl-34444482

RESUMEN

Italy, Greece, Spain, and Portugal have all been strongly affected by the 2008 financial crisis, which has had a negative impact on health. We systematically evaluated the effects of the crisis on lifestyle and socioeconomic inequalities. We conducted a literature search using MEDLINE, Embase, the Cochrane Library, and health economics databases for studies reporting quantitative comparisons before and after (or during) the crisis on the following risk behaviors: alcohol consumption, smoking habit, healthy diet, physical activity, and psychotropic drugs and substance abuse, without setting any age restrictions. We selected 34 original articles published between 2011 and 2020. During/after the crisis, alcohol consumption and substance abuse decreased, while psychotropic drug use increased. We also observed a deterioration in healthy eating behavior, with a reduction in fruit and vegetable consumption. Smoking habit and physical activity showed a more complex, controversial trend. Socioeconomic inequalities were affected by the recession, and the negative effects on unhealthy lifestyle tended to be more pronounced among the disadvantaged. These results suggest the need to implement health policies and interventions aimed at monitoring risk behaviors, with special regard to disadvantaged people, and considering the potential additional impact of the COVID-19 pandemic.


Asunto(s)
COVID-19 , Pandemias , Recesión Económica , Grecia , Humanos , Italia/epidemiología , Estilo de Vida , Portugal/epidemiología , SARS-CoV-2 , España/epidemiología
10.
Soins ; 66(858): 30-34, 2021 Sep.
Artículo en Francés | MEDLINE | ID: mdl-34462066

RESUMEN

Poverty is an absolute evil. It corrodes society. France is not the most affected country, because a social protection system allows the most vulnerable to avoid falling into extreme poverty. The current health crisis is, however, aggravating situations of exclusion. It is therefore urgent to question the effectiveness of public policies and to construct indicators capable of measuring the well-being of citizens who are both contributors and beneficiaries.


Asunto(s)
Pobreza , Política Pública , Francia , Humanos
11.
Hist Cienc Saude Manguinhos ; 28(3): 879-883, 2021.
Artículo en Español | MEDLINE | ID: mdl-34346994

RESUMEN

The rise of the covid-19 pandemic has led to renewed interest in the 1918-1919 influenza in search of aspects that might help us understand the current situation, but also as an opportunity to re-evaluate the serious twentieth-century health crisis in light of what we are experiencing now. In this context and with that goal, this historical reflection shows the parallels that exist and the need for a realization that our model of society is undergoing a crisis and requires profound transformation.


Asunto(s)
COVID-19/historia , Gripe Humana/historia , Pandemias/historia , COVID-19/epidemiología , COVID-19/prevención & control , COVID-19/transmisión , Vacunas contra la COVID-19/historia , Negación en Psicología , Economía , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Higiene/historia , Vacunas contra la Influenza/historia , Gripe Humana/epidemiología , Gripe Humana/prevención & control , Gripe Humana/transmisión , Personal Militar/historia , Primera Guerra Mundial
12.
Artículo en Portugués | MEDLINE | ID: mdl-34346999

RESUMEN

Scientific policy in Brazil has neglected the human and social sciences, especially in terms of investing in research. With the arrival of covid-19, efforts have focused on minimizing the impact of this health crisis on the country's social and economic life. In the scientific arena, this involved research financing and professional qualification grants that prioritized technological areas while restricting opportunities for researchers from the social, human, and artistic sciences. Here we maintain that Brazil's scientific policy is out of step with international scientific development programs, and has a limited view of what science is, as well as its role in the nation's development.

13.
Health Econ ; 30(10): 2452-2467, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34268828

RESUMEN

Worldwide, countries have been restricting work and social activities to counter the emerging public health crisis due to the coronavirus pandemic. These measures have caused dramatic increases in unemployment. Some commentators argue that the "draconian measures" will do more harm than good due to the economic contraction, despite a large literature that finds mortality rates decline during recessions. We estimate the relationship between unemployment, a proxy for economic climate, and mortality in Australia, a country with universal health care. Using administrative time-series data on mortality by state, age, sex, and cause of death for 1979-2017, we find no relationship between unemployment and mortality on average. However, we observe beneficial health effects in economic downturns for young men, associated with a reduction in transport accidents. Our estimates imply 431 fewer deaths in 2020 if unemployment rates double as forecast. For the early 1980s, we find a procyclical pattern in infant mortality rates. However, this pattern disappears starting from the mid-1980s, coincident with the 1984 implementation of universal health care. Our results suggest that universal health care may insulate individuals from the health effects of macroeconomic fluctuations.


Asunto(s)
Recesión Económica , Desempleo , Australia/epidemiología , Humanos , Masculino , Mortalidad , Salud Pública
15.
Epidemiol Prev ; 45(3): 189-195, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34212700

RESUMEN

OBJECTIVES: to analyse the association between smoking behaviour and economic crises in Italy between 1993 and 2015. DESIGN: ecological study, carried out on data of the Italian National Institute of Statistics, by means of fixed-effect panel regressions. SETTING AND PARTICIPANTS: the rate of smoking prevalence (disaggregated by gender and age) and the unemployment rate (disaggregated by gender and referring to individuals aged 15 or more) were collected for each of the twenty Italian regions. Also, percentage fluctuations of the national real gross domestic product (GDP) were collected to identify the years of severe economic crisis. MAIN OUTCOME MEASURES: number of people who smoke per 100 people with the same features. RESULTS: among men, increased regional unemployment rate was associated with increased smoking behaviour only in the group aged 25-34 years. Differently, severe economic crises were associated with increased smoking in almost all age groups, except for men aged 15-24 years. A 1-point decrease in GDP was associated with 0.75 more smokers aged 15 years or more. The highest coefficient was reported among men aged 35-44 years, where a 1-point decrease in GDP was associated with 1.16 more smokers (every 100 men). This age group is also featured by the second highest prevalence of tobacco smoking (36.8%). Among women, a 1-point increase in the regional unemployment rate was associated with 0.08 less smokers every 100 women. Similarly, periods of severe economic crisis at national level were associated with reduced smoking behaviour among women aged 15 years or more, specifically those aged 15-24 years. Differently, women aged 25-34 and 65 years or more showed an association similar to that reported among men. In these groups, a 1-point decrease in GDP was associated with 0.67 and 1.08 more smokers every 100 women. While among the latter the prevalence of tobacco smoking is the lowest, among the former it is the third highest prevalence (21.69%). Therefore, increased smoking behaviour due to economic crises seems to occur especially among women aged 25-35 years old, as happens among men. CONCLUSIONS: men in almost all age groups and women aged 25-34 and 65 years or more represent vulnerable groups in which smoking behaviour may increase in times of economic hardship. Therefore, specific policies should be implemented to prevent this occurrence, as well as the negative health outcomes of tobacco smoking.


Asunto(s)
Recesión Económica , Fumar , Desempleo , Adolescente , Adulto , Femenino , Humanos , Italia/epidemiología , Masculino , Prevalencia , Fumar/epidemiología , Desempleo/estadística & datos numéricos , Adulto Joven
17.
Artículo en Alemán | MEDLINE | ID: mdl-34251465

RESUMEN

The annual Poverty and Health congress, which has been organized by Gesundheit Berlin-Brandenburg e. V. since 1995, has become one of the biggest public health events in Germany. It offers an exchange platform for science, practice, and politics. This year's congress topic was "From Crisis to Health in All Policies," which aimed to address the SARS-CoV­2 pandemic's impact on society in general and public health in particular. Overall, 80 panels were organized with close to 500 experts discussing a wide range of subjects and questions, for example, the connection between poverty and COVID-19, the current challenges in the care sector, the situation of homeless people, and the impact of the pandemic on (young) families or students as well as global questions on vaccination strategy and key issues for a public health strategy for Germany.


Asunto(s)
COVID-19 , Pobreza , Berlin , Alemania , Humanos , Políticas , SARS-CoV-2
18.
Artículo en Inglés | MEDLINE | ID: mdl-34265874

RESUMEN

Objective: To measure the mental health effects (perceived stress, anxiety, and depression) among health care workers and medical students in Lebanon during the coronavirus disease 2019 (COVID-19) pandemic and subsequent to the Beirut blast.Methods: In this cross-sectional study, a self-administered online questionnaire was developed and distributed between late December 2020 and early February 2021 among health care workers and medical students via social media. The 10-item Perceived Stress Scale (PSS-10) and the 4-item Patient Health Questionnaire for Depression and Anxiety (PHQ-4) were administered. P values between variables were calculated using χ2 test.Results: Overall, 98% of the respondents had a low PSS-10 score and 89% had a low PHQ-4 score. About 58.1% of health care workers and 69.0% of student respondents had moderate to severe stress on the PSS-10, and 48.7% and 46.8%, respectively, reported moderate to severe anxiety and depression on the PHQ-4. Prevalence of depression and anxiety was relatively higher among health care workers with monthly incomes < LBP 4 million (57.1%) and higher in women (39.9%) compared to men (17.2%). Furthermore, the prevalence of depression and anxiety was higher among health care workers traveling between different districts (63.0%) compared to those with residence and work location within the same district and was higher among females (65.4%) compared to males (34.6%).Conclusions: The resilience of the Lebanese people as well as their ability to adapt in the face of trauma, tragedy, threats, or any significant source of stress is remarkable and seen in their everyday lives, especially subsequent to the Beirut blast. However, the psychological well-being and mental health of health care workers and medical students in Lebanon should be carefully surveilled and recorded during the COVID-19 pandemic, especially within the ongoing socioeconomic crisis.


Asunto(s)
COVID-19 , Desastres , Personal de Salud/psicología , Salud Mental , Pandemias , Estudiantes de Medicina/psicología , Adulto , Ansiedad/epidemiología , Ansiedad/psicología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Recesión Económica , Femenino , Humanos , Líbano , Masculino , Persona de Mediana Edad , Prevalencia , Resiliencia Psicológica , Factores Sexuales , Encuestas y Cuestionarios , Adulto Joven
19.
Public Health ; 196: 29-34, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34139606

RESUMEN

OBJECTIVES: Little is known about the impact of the 2008 global economic recession on childhood obesity in Portugal. Thus, this study's goals were to compare weight status of children during and after the economic crisis according to their neighbourhood environment features and to assess changes in specific dietary habits during the economic crisis. STUDY DESIGN: Cross-sectional study. METHODS: Data including weight, height, residence address to allow its geocoding and dietary habits changes during the crisis from children living in Lisbon municipality were collected in 2009 (N = 929) and in 2016 (N = 1751). A multidimensional environment index, with data of both built and socioeconomic nature collected at the statistical section level (areas comprised 300 dwellers) in the 2011 census, was used to characterize neighbourhoods. RESULTS: Overall, the proportion of children who are overweight or obese living in the socioeconomically vulnerable areas decreased in 2016. Families living in the latter areas stopped buying some food items, started to buy cheaper food items, cooked more meals at home and ate less in restaurants. In 2016, the risk for overweight and obesity increased in children who lived in the least advantageous areas. Living in areas with high socioeconomic status or most advantageous areas no longer represented a decreased risk of being overweight or obese in children in 2016 as it did in 2009. CONCLUSIONS: This study suggests that the economic crisis enhanced the social inequalities regarding childhood obesity. These results aid the development of evidence-based strategies to lessen the social inequities in health outcomes created by the crisis.


Asunto(s)
Recesión Económica , Obesidad Pediátrica , Índice de Masa Corporal , Niño , Estudios Transversales , Humanos , Obesidad Pediátrica/epidemiología , Características de la Residencia , Factores Socioeconómicos
20.
Ciênc. Saúde Colet ; 26(supl.1): 2459-2470, jun. 2021. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1278840

RESUMEN

Abstract Vulnerability processes and effects, albeit of great importance to cohesion and territorial policies, are nonetheless still underexplored and narrowly operationalized in scientific research. In particular, most assessments rely on economic indicators and a limited territorial scale, which do not have the same analytic potential of a broader view at a national level with regional/municipal similarities, specificities, and inter-connections. This gap also applies to health-related vulnerabilities, which, stemming from a lack of socioeconomic and environmental resources, has increased during and after the economic crisis of the past decade. This paper aims to analyze the health vulnerability phenomena in Portugal from a spatial perspective. Following a Multiple Correspondence Analysis, different territorial profiles of social vulnerability associated with the population health condition and access to and use of "health services" are identified. We conclude by outlining the importance of adding the spatial context to health policies addressing vulnerabilities and suggest avenues for future research.


Resumo Os processos e os efeitos da vulnerabilidade, embora de grande importância para a coesão e políticas territoriais, ainda são pouco explorados e operacionalizados do ponto de vista científico. Na verdade, a maioria das avaliações baseia-se em indicadores económicos e em contextos territoriais muito específicos, não explorando o potencial analítico de uma visão mais ampla ao nível nacional, tendo por base as especificidades e as interconexões regionais / municipais. Essa lacuna é visível nas vulnerabilidades relacionadas com a saúde, que, decorrentes da falta de recursos sociais, económicos e ambientais, aumentaram durante e após a crise económica iniciada na década passada. O principal objetivo deste artigo consiste em analisar os fenómenos de vulnerabilidade associados à saúde em Portugal numa ótica territorial. Através da realização de uma Análise de Correspondência Múltipla, são identificados diferentes perfis territoriais de vulnerabilidade social associados ao "estado de saúde" dos indivíduos e ao acesso e uso de "serviços de saúde". Na conclusão do artigo, sublinha-se a importância de adicionar o contexto territorial às políticas de saúde que procuram encontrar respostas para fazer face aos desafios decorrentes de vulnerabilidades sociais e sugerem-se pistas para investigação futura.

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